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ROBERT C CATES SR. MD
NPI 1376564898
Family Medicine in Brodhead, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
1904 1ST CENTER AVE, BRODHEAD, WI 53520(608) 897-2380 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Dec 17, 2020 (2 updates tracked since 2020).

About Robert C Cates Sr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT C CATES SR. MD (NPI 1376564898) is an individual family medicine provider in Brodhead, Wisconsin, licensed in Wisconsin (30653) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of University Of Wisconsin School Of Medicine (1987).

NPPES Registry Identity

NPI1376564898
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT C CATES SR.Credential: MD
Location Address1904 1ST CENTER AVEBrodhead, WI 53520-1900
Mailing Address1904 1st Center AveBrodhead, WI 53520-1900 · (608) 897-2380
Phone(608) 897-2380
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1987
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1376564898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 30653✔ Licensed in IL · 036-083189
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1904 1ST CENTER AVE, Brodhead, WI 53520
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Other Identifiers 13

Other690004890Medicare Railroad
Other90002361Wea Ins
Other31537600Hirsp
OtherL18819Medicare
Other10854Dean Health Plan
Medicaid31537600WI
Other1000389Physicians Plus
Other390808509Ct General
Other390808509Wps
Other80057610Medicare Railroad
Other390808509Cigna
Other390808509AUUnity
Other390808509A1Unity

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert C Cates Sr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587605621
PECOS Enrollment IDI20050518000996, I20050614001192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
626 services364 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
331 services196 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
260 services260 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services86 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
71 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
52 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers71 claims186 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers39 claims53 services$1.00 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims353 services$1.25 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier13 claims24 services$3.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$59.47 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers14 claims14 services$18.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE MONROE CLINIC, INC.
Durable Medical Equipment & Medical Supplies
1904 1ST CENTER AVE
BRODHEAD, WI 53520
Green County (608) 897-2191
STEVEN L MISCHKA FNP
Registered Nurse
1904 1ST CENTER AVE
BRODHEAD, WI 53520
Green County (608) 897-2380
KELSEY SCHMIDT M.D.
Family Medicine
1904 1ST CENTER AVE
BRODHEAD, WI 53520
Green County (608) 897-2191
JACQUELINE LEIGH ENGEN APNP-FNP
Nurse Practitioner
1904 1ST CENTER AVE
BRODHEAD, WI 53520
Green County (608) 897-2191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Cates's NPI number?

The NPI number for Robert Cates is 1376564898. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Robert Cates located?

Robert Cates practices at 1904 1st Center Ave, Brodhead, WI 53520. The listed phone number is (608) 897-2380.

What is Robert Cates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Cates enrolled in Medicare?

Yes. Robert Cates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Cates accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Robert Cates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Cates affiliated with any hospitals?

According to CMS data, Robert Cates is affiliated with The Monroe Clinic and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Robert Cates was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.